Comparison of the Marginal Fit of Heat Pressed Crowns Fabricated With 3D Printed and Conventional Methods

Document Type : مقاله‌های پژوهشی

Authors

1 Graduated of Dentistry, School of Dentistry, Islamic Azad University Isfahan (Khorasgan) Branch, Isfahan, Iran

2 Assistant Professor, Department of Prosthetic Dentistry, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

3 Postgraduate Dentistry, Department of Prosthetic Dentistry, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

Abstract

Introduction: Marginal adaptation is one of the key factors in the success of dental crowns. It is necessary to identify marginal adaptation in order to determine the spacing and prevent the onset of diseases. This study sought to use 3D and manual printing methods aiming at manufacturing heat press full-coverage extra-coronal restorations with more marginal adaptation.
Materials & Methods: This study was conducted in the year 1397-98 at the Islamic Azad University of Isfahan using descriptive-analytical and cross-sectional method with 20 samples. Ten samples were evaluated using a 3D printing method, and ten samples were assessed by manual wax-up technique. Results were analyzed using Kruskal-Wallis and Mann-Whitney tests.
Results: There was a significant difference between the restoration space and the marginal edges in eight parts of the teeth in the manual method (p value < 0.001). The marginal edge space in the eight parts of the tooth was not significantly different in the 3D print method (p value = 0.614). A significant difference was observed in restoration space and the marginal edge between 3D printing and manual techniques (p value < 0.001).
Conclusion: The compatibility of the complete outer crowns of the heat press in the 3D printing method was not significantly different from the manual waxing method.
Key words: Dental marginal adaptation, Crowns, Prosthodontics.

1. Grami Panah F, Fazel A, Haj-Mahmoodi M. Effect of metal collar on marginal distortion of base metal crowns. J Dent Med Tehran Univ Med Sci 2000; 13(3): 53-61. [In Persian].
2. Yeo IS, Yang JH, Lee JB. In vitro marginal fit of three all ceramic crown systems. J Prosthet Dent 2003; 90(5): 459-64.
3. Kokubo Y, Nagayama Y, Tsumita M, Ohkubo C, Fukushima S, Vult von Steyern P. Clinical marginal and internal gaps of In-Ceram crowns fabricated using the GN-I system. J Oral Rehabil 2005; 32(10): 753-8.
4. AlHelal A, Jekki R, Richardson PM, Kattadiyil MT. Application of digital technology in the prosthodontic management of a myasthenia gravis patient: a clinical report. J Prosthet Dent 2016; 115(5): 531-6.
5. Di Giacomo GA, Cury PR, de Araujo NS, Sendyk WR, Sendyk CL. Clinical application of stereolithographic surgical guides for implant placement: preliminary results. J Periodontol 2005; 76(4): 503-7.
6. Hazeveld A, Huddleston Slater JJ, Ren Y. Accuracy and reproducibility of dental replica models reconstructedby different rapid prototyping techniques. Am J Orthod Dentofacial Orthop 2014; 14(1)5: 108-15.
7. Kasparova M, Grafova L, Dvorak P, Dostalova T, Prochazka A, Eliasova H, et al. Possibility of reconstruction of dental plaster cast from 3D digital study models. Biomed Eng Online 2013; 12: 49.
8. Campbell T, Williams C, Ivanova O, Garrett B. Could 3D printing change the world? Technologies, potential, and implications of additive manufacturing. [Online]. Atlantic Council, 2011: 1-13. Avilable from: URL: https://www.atlanticcouncil.org/in-depth-research-reports/issue-brief/could-3d-printing-change-the-world
9. Rages AF. Marginal and internal adaptation of zirconia crowns on 3D printed models in comparison to conventional stone models: An in vitro study. [Thesis]. Boston, MA: School of Dentistry, Tufts University School of Dental Medicine; 2017.
10. Mai HN, Lee KB, Lee DH. Fit of interim crowns fabricated using photopolymer-jetting 3D printing.
J Prosthet Dent 2017; 118(2): 208-15.
11. Tinschert J, Natt G, Mautsch W, Spiekermann H, Anusavice KJ. Marginal fit of alumina-and zirconiabased fixedpartial dentures produced by a CAD/CAM system. Oper Dent 2001; 26(4): 367-74.
12. Shillingburg HT, Sather DA, Wilson EL, Cain JR, Mitchell DL, Blanco LJ, et al. Fundamentals of fixed prosthodontics. 4th ed. Batavia, IL: Quintessence Pub Co; 2012.
13. McLean JW, von Fraunhofer JA. The estimation of cement film thickness by an in vivo technique. Br Dent J 1971; 131(3): 107-11.
14. Munoz S, Ramos V, Dickinson DP. Comparison of margin discrepancy of complete gold crowns fabricated using printed, milled, and conventional hand-waxed patterns J Prosthet Dent 2017; 118(1): 89-94.
15. Homsy FR, Özcan M, Khoury M, Majzoub ZAK. Marginal and internal fit of pressed lithium disilicate inlays fabricated with milling, 3D printing, and conventional technologies. J Prosthet Dent 2018; 119(5): 783-90.
16. Eftekhar Ashtiani R, Nasiri Khanlar L, Mahshid M, Moshaverinia A. Comparison of dimensional accuracy of conventionally and digitally manufactured intracoronal restorations. J Prosthet Dent 2018; 119(2): 233-8.
17. Ng J, Ruse D, Wyatt C. A comparison of the marginal fit of crowns fabricated with digital and conventional methods. J Prosthet Dent 2014; 112(3): 555-60.
18. Azar B, Eckert S, Kunkela J, Ingr T, Mounajjed R. The marginal fit of lithium disilicate crowns: Press vs. CAD/CAM. Braz Oral Res 2018; 32: e001.
19. Anadioti E. Internal and marginal fit of pressed and cad lithium disilicate crowns made from digital and conventional impressions. [Thesis]. Iowa City, IA: The University of Iowa; 2013.